RTH256 Mod 1 Exam NEURO, GBS, MG

Question 1

What is a common pulmonary sequence?

Answer 1

Aspirate
Core Pulmunal ( R side ❤ failure )
Central sleep apnea

Question 2

Respiratory muscle weakness is associated with?

Answer 2

Ventilatory Insufficiency
Atelectasis and Hypoxemia
Neurological

Question 3

Muscle weakness is associated with?

Answer 3

Neuromuscular disease
Orthopnea
dyspnea
Fatigue

Question 4

Peripheral nerve disorders that cause respiratory muscle dysfunction may be caused by

Answer 4

Inflammatory process
vascular disorders
metabolic disorders

Question 5

Where is the peripheral nerve located?

Answer 5

Peripheral nerves go from your spinal cord to your arms, hands, legs and feet.

Question 6

what is the main function of the peripheral nerve?

Answer 6

s a network of 43 pairs of motor and sensory nerves that connect the brain and spinal cord (the central nervous system) to the entire human body. These nerves control the functions of sensation, movement and motor coordination.

Question 7

Why do we use spirometry?

Answer 7

Because we can use the spirometry results and transfer them to the mechanical ventilator.

Question 8

What is spirometry?

Answer 8

It s an assessment tool for MV

Question 9

Incentive spirometry is used to

Answer 9

To evaluate the effects of diaphragmatic breathing exercises and flow and volume-oriented

Question 10

How can we diagnose diaphragm paralysis?

Answer 10

PFT (pulmonary function test)

Question 11

BGS results in?

Answer 11

Flaccid paralysis of the skeletal muscles

Loss of reflexes that result from peripheral nerve damage.

Question 12

Severe cases of GBS may result in

Answer 12

VENTILATORY FAILURE due to paralysis of the diaphragm.

NERVES MAY demonstrates Demyelination, Inflammation, and Edema.

Question 13

Major pathological, structural and ventilatory changes to the lungs are due to

Answer 13

Alveolar consolidation from atelectasis

Question 14

what demographic is most likely to be affected by GBS?

Answer 14

Incidence is greater in people over the age of 50.

50-60% more common in white males.

Question 15

What antibody is elevated with GBS?

Answer 15

( IgM ) Immunoglobulin M

Question 16

Immunoglobulin M

Answer 16

is one of several isotypes of antibodies that are produced by vertebrates. IgM is the largest antibody, and it is the first antibody to appear in response to initial exposure to an antigen.

Question 17

In regards to GBS campylobacter jejumi is associated with what bacteria? Not chickenpox

Answer 17

Mononucleosis
Measles and mumps NOT CHICKENPOX
Mycoplasm pneumonie
Chlamydia psittaci

Question 18

Common noncardiopulmonary manisfistations

Answer 18

Ascending paralysis. ( Muscle weakness or loss of muscle function (paralysis) affects both sides of the body. In most cases, the muscle weakness starts in the legs and spreads to the arms. This is called ascending paralysis

Question 19

What is the most common respiratory muscle affected with GBS?

Answer 19

Diaphragm

Question 20

What is the functional spontaneous recovery?

Answer 20

Functional spontaneous recovery in about 90% of cases.

Question 21

GBS is peripheral so the strip of what is no longer present?

Answer 21

Myelin sheath

Question 22

common non cardiopulmonary manifestations associated with GBS?

Answer 22

Distal Paresthesia or dysesthesias ( numbness or tingling)
Back, Buttocks, Leg pain
Absence of reflux
Difficulty swallowing

Question 23

Diagnosis of GBS is based on

Answer 23

Elevated protein levels in cerebral fluid ( Spinal fluid)

Abnormal electromyography EMG

Question 24

ABG of Acute ventilator y Failure

Answer 24

PH: ⬇ below 7.35 CO2 ⬆ above 45 use monometer for Vital Capacity

Question 25

Vital capacity is

Answer 25

the greatest volume of air that can be expelled from the lungs after taking the deepest possible breath. ⬇ less than -20ml/kg NIF ⬇ less than 2525cm H2O

Question 26

Any pulmonary pt’s is susceptible

Answer 26

Pulmonary Thrombosis / Thromboembolism

Question 27

Severe Treatment of GBS

Answer 27

plasmapheresis

Question 28

Auscultating Pt with GBS, findings

Answer 28

Crackles wheeze Diminished crackles and Ronchi

Question 29

GBS is part of what nerve dysfunction?

Answer 29

autonomic nervous dysfunction 2

Question 30

GBS hart rate

Answer 30

Tachy and Brady Hypotension

Question 31

This 1st stage of a critical event are going to have what kind of heart rate?

Answer 31

Tachy

Question 32

PFT results on a GBS pt will always be

Answer 32

Restrictive

Question 33

GBS always leads to Atelectasis because

Answer 33

Pt can’t take deep breaths, atelectasis show as opacity on CXR